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上海市某社区儿童特应性皮炎患病情况及其影响因素
引用本文:严淑贤,彭卓欣,朱俭锋,彭琬睛,徐峰,徐金华,杨超,赵卓慧. 上海市某社区儿童特应性皮炎患病情况及其影响因素[J]. 环境与职业医学, 2012, 29(10): 616-619
作者姓名:严淑贤  彭卓欣  朱俭锋  彭琬睛  徐峰  徐金华  杨超  赵卓慧
作者单位:[1]复旦大学附属华山医院皮肤科,上海200040 [2]复旦大学公共卫生学院环境卫生教研室,上海200032 [3]新泾社区卫生服务中心,上海200335
基金项目:上海市卫生局重点课题(编号:20114001);上海市卫生局课题(编号:2010QL034A);上海市长宁区卫生局科研课题(编号:20114S27001);国家自然科学基金(编号:NFSC30800894)
摘    要:[目的]调查上海市长宁区儿童特应性皮炎(AD)患病情况,探讨儿童AD的相关危险因素。[方法]对上海市长宁区某社区2457名6—12岁儿童进行AD患病情况及其可能影响因素的问卷调查,并对数据进行单因素和多因素分析。[结果]上海市长宁区儿童AD累积患病率为11.8%,较小的年龄、家族过敏史(OR,95%1:2/分别为2.35,1.77~3.12)、母亲怀孕前一年或怀孕期间(1.73,1.25—2.40)及儿童出生后居住装修半年内的房屋(1.77,1.32~2.38)、复合,木制/毛毯作为儿童房间地面材料(1.62,1.02-2.57)、居住地出现发霉状况(1.72,1:17~2.60)、儿童被动吸烟(1.64,1.16~2.33)、单纯使用天然气,煤气作为家庭燃料(1.73,1.07~2.81)等因素与儿童AD患病有统计学关联。[结论]室内家居环境与儿童AD可能有关。

关 键 词:特应性皮炎  患病率  室内环境  危险因素  城市  回归分析

Prevalence of Atopic Dermatitis and Associated Factors among Children in a Shanghai Community
Affiliation:YAN Shu-xian, PENG Zhuo-xin, ZHU Jian-feng, PENG Wan-qing, XU Feng, XU Jin-hua, YANG Chao, ZHA O Zhuo-hui(1.Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, China; 2.Department of Environmental Health, School of Public Health, Fudan University, Shanghai 200032, China; 3.Xinjing Community Health Service Center, Shanghai 200335, China)
Abstract:[ Objective ] To estimate the prevalence of childhood atopie dermatitis (AD) in Changning District of Shanghai as well as its associated risk factors. [ Methods ] A cross-sectional study was conducted in 2457 children aged 6-12 years old in a community of Changning District. Questionnaires were distributed asking about children's general information and residential environment and the prevalence of AD. The data were analyzed by univariate and multivariate logistic regressions. [ Results ] The total cumulative prevalence of AD was 11.8%. Younger age, family history of allergic diseases [odds ratio (OR), 2,35; 95% confidence interval (Cl) 1.77-3.12], mothers lived in newly decorated homes (NDH) (within 6 months after decoration) 1 year before or during pregnancy (1.73, 1.25-2.40), children lived in NDH (1.77, 1.32-2.38), laminated/wood/carpetlng floors (1.62, 1.02-2.57), mold in homes (1.72, 1.17-2.60), children passive smoking (1.64, 1.16-2.33), and use of natural gas/coal gas only for cooking (1.73. 1.07-2.81) were independent risk factors for children's AD. [ Conclusion ] Home environmental factors might be related with AD in children.
Keywords:atopic dermatitis  prevalence  indoor environment  dsk factors  urban areas  logistic analysis
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